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Organization
CULLMAN PRIMARY CARE, PC
Active
Organization
CULLMAN PRIMARY CARE, PC
Active
Parent organization
CULLMAN PRIMARY CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CULLMAN PRIMARY CARE, PC
Authorized official
MRS. CONNIE BLANKENSHIP (CREDENTIALING COORDINATOR)
(256) 739-0801
Entity
Organization
Contact information
Practice address
1406 WALL ST, CULLMAN, AL 35055-6011
(256) 736-2856
(256) 736-2867
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-0801
(256) 739-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/15/2023
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